Healthcare Provider Details

I. General information

NPI: 1851248256
Provider Name (Legal Business Name): KIM'S ANGELS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WILSON AVE
COLUMBUS OH
43207-2052
US

IV. Provider business mailing address

1700 WILSON AVE
COLUMBUS OH
43207-2052
US

V. Phone/Fax

Practice location:
  • Phone: 614-586-5103
  • Fax:
Mailing address:
  • Phone: 614-586-5103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHEYENNE C JENKINS
Title or Position: CEO
Credential:
Phone: 614-586-5103